| Allwell Medical Health Pc | |
|
4161 Kissena Blvd Ste C Flushing NY 11355-3105 | |
| (718) 878-6920 | |
| (718) 878-6920 |
| Full Name | Allwell Medical Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4161 Kissena Blvd Ste C, Flushing, New York |
| Authorized Official Name and Position | Shuhua Song (MD) |
| Authorized Official Contact | 7188786920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allwell Medical Health Pc Po Box 604675 Bayside NY 11360-4675 Ph: (718) 878-6920 | Allwell Medical Health Pc 4161 Kissena Blvd Ste C Flushing NY 11355-3105 Ph: (718) 878-6920 |
| NPI Number | 1427822196 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 7012351380 |
|---|---|
| Medicare Enrollment ID | O20240215000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427822196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Shuhua Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902216328 PECOS PAC ID: 9638437122 Enrollment ID: I20180921000921 |
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